Metropolitan Life Ins. Co. v. Pribble

130 S.W.2d 332, 1939 Tex. App. LEXIS 1203
CourtCourt of Appeals of Texas
DecidedJune 2, 1939
DocketNo. 13918.
StatusPublished
Cited by23 cases

This text of 130 S.W.2d 332 (Metropolitan Life Ins. Co. v. Pribble) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Metropolitan Life Ins. Co. v. Pribble, 130 S.W.2d 332, 1939 Tex. App. LEXIS 1203 (Tex. Ct. App. 1939).

Opinion

DUNKLIN, Chief Justice.

This suit was instituted by Oscar Pribble, in the District Court of Tarrant County, for the 96th Judicial District, against the Metropolitan Life Insurance Company, to recover instalments accruing under a policy of insurance in his favor, in conformity with his right thereto, fixed by a former judgment in his favor against that company, and the defendant has appealed from a judgment awarding him that relief.

The former judgment invoked as res adjudicata was rendered by the same court on January 3, 1934, in favor of Oscar Pribble against the Metropolitan Life Insurance Company, on a group insurance policy issued to the Chicago, Rock Island and Pacific Railway Company, for the benefit of its employees.

On appeal, the amount of recovery was reduced to $1,536.30, and, as thus reformed, the judgment of the trial court was affirmed. Tex.Civ.App., 82 S.W.2d 414. The date of the judgment by this court was March 15, 1935, and no writ of error to the Supreme Court was applied for by the Metropolitan Life Insurance Company. Therefore, that judgment became a final adjudication of the controversy.

That suit was for compensation stipulated in a certificate of insurance issued to the plaintiff, under the group insurance policy held by the Railway Company. By the terms of that certificate, the company *334 agreed to pay plaintiff the sum of $3,000 in equal monthly instalments of $54 each, if plaintiff, while an employee of the Railway Company, should, prior to his sixtieth birthday, become so disabled as a result of bodily injury or disease, as to be prevented permanently from engaging in any occupation and performing any work for compensation or profit. The judgment rendered in that suit was based on findings of the jury in answer t'o special issues, sustaining allegations in plaintiff’s petition that, on August 31, 1930, while engaged in the performance of duties of his employment with the Railway Company, he fell to the ground from the top of a box car, a distance of approximately 15 feet, resulting in fractures of bones in his right foot and leg, from which several broken bones were removed ; also his right heel was broken, and he had lost practically the entire use of his right foot and leg, except to hobble around; and by reason of his said injuries, plaintiff was totally incapacitated from performing the usual tasks of a workman, and that such total incapacity is permanent.

In plaintiff’s second amended petition, filed April 18, 1938, on which the present case was tried, allegations were made of the pleadings and final judgment rendered in the former suit, adjudicating plaintiff’s right under the policy to recover $3,000, payable in equal monthly instalments of $54 each. With further allegations that after final judgment in the former suit, defendant for a while paid plaintiff those monthly instalments, as they accrued, but on or about June 1, 1936, notified plaintiff it would no longer make such payments. At the time of such notice, defendant owed plaintiff 23 monthly instalments, and a recovery was sought therefor. It was further alleged that seven of those in-stalments had accrued when plaintiff’s original petition was filed, and fourteen since that time, leaving two of such instal-ments to accrue after the filing of the second amended petition, and recovery for those was sought on allegations of anticipated.breach of the same. Plaintiff also prayed for attorney’s fees and penalty, for failing to pay those instalments.

Answer filed by defendant to that petition included a general demurrer and special exception, a general denial, and also a special answer. In the special answer, the right of recovery for attorney’s fees was challenged under allegations that the group insurance policy was issued by the defendant at its home office in the State of New York, in which state there is-no statute allowing recovery of a penalty and attorney’s fees, and therefore statutes, of the State of Texas permitting a recovery of such have no proper application, in-view of the full faith and credit provisions of the Federal Constitution. U.S.C.A.Const. art. 4, § 1.

In that pleading, further allegations were made, reciting the institution of the former suit and final judgment thereon; payments, by defendant to plaintiff since the final judgment of this court in that case, as follows : monthly instalments of $54 each, ■accruing under the policy for the months, of June to December, 1935, inclusive, and for the months of January to June, 1936, inclusive; with further allegations that thereafter defendant discovered that plaintiff had theretofore on June 24, 1935,. re-entered his former employment with Chicago, Rock Island & Pacific Railway Company, and ever since has performed and is still performing the same duties he had performed prior to his alleged total and permanent injury; and for such services, performed from June 24, 1935, through December, 1935, he had been paid by said Railway Company the sum of $850.84,. and for services performed during the year 1936, he had been paid by the Railway Company the sum of $1,996.94; and for services performed during the first four months of the year 1937, he had received $714.25, and he is still continuing in said employment at the same wages. With further allegations that both prior and subsequent to the date of said former-judgment, plaintiff was not totally and permanently disabled from performing any work or occupation within the terms of his certificate of insurance. Defendant further alleged that the group insurance policy issued to the Railway Company included this provision:

“Notwithstanding that proof of total, and permanent disability may have been accepted by the Company as satisfactory, the Employee shall, at any time, on demand from the Company, furnish due proof of the continuance of such disability,, but after such disability shall have continued for two full years, the Company-will not demand such proof more often than once in each subsequent year. If the Employee shall fail to furnish such proof, the said Employee shall be deemed: to have recovered from such state of disability. In the event that the said Em *335 ployee recovers from such state of disability before all the instalments hereinbe-fore mentioned shall have been paid, or fails, on demand, to furnish due proof of the continuance of such disability, payment of such instalments on account of such Employee shall cease. Insurance on the life of such Employee hereunder shall then be revived, but shall be limited in amount to, and if the Employee then re-enters the employ of the Employer, premiums will be payable thereafter for, the commuted value of three and one-half per centum per annum, compound interest, of the instal-ments then remaining unpaid, on account of such Employee, at the time of such recovery, augmented by any increases to which such Employee would have been entitled had such Employee’s service not been interrupted on account of such disability.

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Bluebook (online)
130 S.W.2d 332, 1939 Tex. App. LEXIS 1203, Counsel Stack Legal Research, https://law.counselstack.com/opinion/metropolitan-life-ins-co-v-pribble-texapp-1939.